OMB No: 0910-0915 Expiration Date: 06/30/2026
Paperwork Reduction Act Statement: The public reporting burden for this collection of information has been estimated to average 30 minutes per response. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing burden to [email protected].
ATTACHMENT 9: ExPECTT 3 Youth Survey: Baseline
The Real Cost Campaign Outcomes Evaluation Study: Cohort 3 (Outcomes Study)
[PROGRAMMING NOTES:
THE RESPONSE OPTION, “PREFER NOT TO ANSWER” WILL NOT BE INCLUDED UNTIL A RESPONDENT TRIES TO SKIP A QUESTION WITHOUT RESPONDING. IF ANY ITEM IS LEFT UNANSWERED, THE ERROR MESSAGE WILL SAY “PLEASE PROVIDE AN ANSWER TO THIS QUESTION. IF YOU WOULD PREFER NOT TO ANSWER, PLEASE SELECT THE OPTION ‘PREFER NOT TO ANSWER.” IN LOWERCASE LETTERS, AND PREFER NOT TO ANSWER WILL DISPLAY AT THE BOTTOM OF THE ANSWER CHOICES, CODED 999.
QUESTIONS MARKED WITH AN ASTERISK WILL ONLY BE ASKED AT BASELINE]
Preloaded Variables
Variable Name |
Description |
Values |
SAMPLE_TYPE |
Sample type depending if participant comes from the longitudinal cohort or replenishment sample |
1
= longitudinal sample |
BL_DOB |
Date of Birth from baseline survey if sample_type = 1. Value is missing if sample_type = 2. |
[mm/dd/yyyy] |
SOCIALMEDIA |
Identifies if case was a social media case during baseline |
0 = No 1 = Yes . = (replenishment sample) |
EST_AGE_BL |
Estimated age based on the BL DOB |
Age in years Missing for sample_type = 2 |
PARENT_PERM |
Variable from screener, indicates if parental permission was collected or not. |
0 = Not collected 1 = Collected |
isNE_AL |
Indicator variable to identify cases from Nebraska or Alabama |
0 = No 1 = Yes |
PROGRAMMING CHECKPOINT
IF SAMPLE_TYPE = 1 (longitudinal) AND EST_AGE_BL >= 11 AND EST_AGE_BL < 14, THEN GO TO PARENTAL_PERMISSION
IF SAMPLE_TYPE = 1 (longitudinal) AND EST_AGE_BL >= 14, THEN GO TO INTRO_A
IF SAMPLE_TYPE = 2 (replenishment) AND PARENT_PERM = 0, THEN GO TO PARENTAL_PERMISSION.
IF SAMPLE_TYPE = 2 (replenishment) AND PARENT_PERM = 1, THEN GO TO INTRO_A
[INSERT PARENTAL_PERMISSION]
[PROGRAMMING NOTE: PREFER NOT TO ANSWER WILL NOT BE ALLOWED FOR AGE. IF A RESPONDENT TRIES TO SKIP THE BIRTHDATE QUESTION, THE ERROR MESSAGE WILL SAY “YOUR DATE OF BIRTH IS REQUIRED TO CONFIRM THAT YOU ARE ELIGIBLE TO COMPLETE THIS SURVEY. IF YOU HAVE ANY QUESTIONS, PLEASE [IF SOCIALMEDIA = 0 AND RAGE < 18 (< 19 IN AL/NE), DISPLAY: “HAVE YOUR PARENT/GUARDIAN”] CONTACT US AT 1-866-800-9177.”]
INTRO_A.
The first part of the survey asks you some general questions about yourself.
ASK: All respondents
A1_1.
What is your date of birth?
__________ (mm/dd/yyyy)
A1_1b.
To be sure we have the right information, please enter your date of birth again.
__________ (mm/dd/yyyy)
[PROGRAMMER:
A1_1 AND A1_1b ARE SHOWN IN THE SAME SCREEN.
CONFIRM
THAT DOB IN A1_1 AND A1_1B MATCH. IF NOT, DISPLAY: These dates do not
match. Please reenter your date of birth.]
ASK: All respondents
CHECKPOINT CHK1
IF SAMPLE_TYPE = 1 (longitudinal) AND A1_1 = BL_DOB, THEN CHK1 = 1. GO TO CHK3.
IF SAMPLE_TYPE = 1 AND A1_1 NOT EQUALS BL_DOB, THEN CHK1 = 2. GO TO EXIT1.
IF SAMPLE_TYPE = 2 (replenishment), THEN CHK1 = missing. GO TO A1_2.
A1_2. [IF SAMPLE_TYPE = 2]
That would make you [CALCULATED AGE] years old, is that correct?
Yes
No
ASK: Respondents who did not take baseline
CHECKPOINT CHK2
IF SAMPLE_TYPE = 2 (replenishment) AND A1_2 = 1, THEN CHK2 = 1. GO TO CHK3.
IF SAMPLE_TYPE = 2 AND A1_2 = (2 or PNTA), THEN CHK2 = 2. GO TO EXIT1.
COMPUTE RESPONDENT AGE (RAGE)
IF
(SAMPLE_TYPE = 1 AND CHK1 = 1) OR (SAMPLE_TYP2 = 2 AND CHK2 = 1),
THEN CALCULATE AGE (RAGE) BASED ON DATE OF INTERVIEW AND A1_1.
CHECKPOINT CHK3
IF SAMPLE_TYPE = 2 AND (RAGE < 11 OR RAGE > 17), GO TO EXIT1
IF RAGE >= 11 AND RAGE <14, GO TO YOUTH_ASSENT
IF RAGE >= 14 AND ((isNE_AL = 0 AND RAGE <18) OR (isNE_AL = 1 AND RAGE < 19)), GO TO YOUTH_ASSENT
IF SAMPLE_TYPE = 1 AND ((isNE_AL = 0 AND RAGE >= 18) OR (isNE_AL = 1 AND RAGE >= 19)), GO TO CONSENT
EXIT1. [IF (SAMPLE_TYPE = 1 AND A1_1 NOT EQUAL BL_DOB) OR
(SAMPLE_TYPE = 2 AND (A1_2 = (2 or PNTA) OR RAGE < 11 OR RAGE > 17))]
Thank you. We need to ask a few follow-up questions before continuing the survey. Please [IF SOCIALMEDIA = 0 AND RAGE < 18 (< 19 IN AL/NE), DISPLAY: “have your parent/guardian”] contact us at 1-866-800-9177.
ASK: Respondents who indicate their calculated age is incorrect a second time
[INSERT ASSENT / CONSENT ATTACHMENTS]
INTRO
This survey is all about you.
Your thoughts, your opinions, your experiences.
We want to know about some of your beliefs, attitudes and behaviors. We will ask about media use and about your use of substances that may be illegal for you to buy or use in your state, such as tobacco and marijuana. Even if you don’t use tobacco or marijuana, we want to know what you think. Finally, we will also ask about your experiences in school and in your home.
It will take about 30 minutes for you to complete this survey. Please take your time and answer as honestly and thoughtfully as you can. Please take the survey in a place where no one can look over your shoulder and view your answers.
Your responses will be combined with those of others who are taking this survey before the data are reported. This will be done to ensure your identity and responses will not be revealed.
ASK: All respondents
INTRO_B.
Now we want to know about your experiences with tobacco products.
ASK: All respondents
The next questions are about vapes. You may also know them as e-cigarettes.
These products are battery-powered and produce vapor or aerosol instead of smoke. They contain nicotine liquid, sometimes called "e-liquid" or "e-juice," although the amount of nicotine can vary and some may not contain any nicotine at all.
Some can be bought as one-time, disposable products, while others can be bought as re-usable kits that are rechargeable. Some common brands include JUUL, Vuse, Puff Bar, NJOY, and blu.
P lease do not include vaping marijuana/THC/CBD/Delta 8 with these products when answering the questions in this section.
B1.
Have you ever tried vaping nicotine, even one time?
Yes
No
ASK: All respondents
B1A. [IF B1=1 OR 999]
Approximately, when did you first try vaping nicotine? Your best estimate is appreciated.
____ Year [RANGE 2004 – 2023; ]
____ Month [RANGE: January – December]
[98] Can’t Remember
ASK: Respondents who have ever tried vaping or PNTA
B1B. [IF B1A MONTH=Can’t remember]
During what season did you first try vaping nicotine?
Winter
Spring
Summer
Fall
Don’t know
ASK: Respondents who can’t remember what month they ever tried vaping
B2. [IF B1=1 OR 999]
In the past 30 days, on how many days did you vape nicotine?
________ days [RANGE 0-30]
ASK: Respondents who have ever tried vaping or PNTA
B3. [IF B1=1 OR 999]
How old were you the first time you used a vape with nicotine?
________ years old [DO NOT ALLOW AGE > PARTICIPANT AGE]
ASK: Respondents who have ever tried vaping or PNTA
B4_1. [IF B2 >=1]
On the days that you can vape nicotine freely, how soon after you wake up do you vape?
0-5 minutes
6-15 minutes
16-30 minutes
31-60 minutes
61-120 minutes
121 or more minutes
ASK: Respondents who are current vape users
B4_2. [IF B2 >=1]
Are you seriously thinking about stopping vaping nicotine altogether?
Yes, within the next 30 days
Yes, not within the next 30 days but sometime in the next 6 months
Yes, not within the next 6 months but sometime in the next year
Yes, but not within the next year
No, I am not seriously thinking about stopping forever
ASK: Respondents who are current vape users
INTRO_CIG1.
Thanks for your answers! Now we want to ask you a few questions about smoking cigarettes.
ASK: All respondents
B5.
Have you ever tried smoking cigarettes, even one or two puffs?
Yes
No
ASK: All respondents
B6. [IF B5=1 OR 999]
In the past 30 days, on how many days did you smoke cigarettes?
________ days [RANGE 0-30]
ASK: Respondents who have ever tried smoking or PNTA
B7. [IF B6 >=1]
In the past 30 days, what type of cigarettes did you usually smoke?
Regular only
More regular than menthol
Both regular and menthol, equally
More menthol than regular
Menthol only
ASK: Respondents who are current cigarette smokers
B8. [IF B6 >=1]
In the past 30 days, on the days you smoked, how many cigarettes did you smoke per day?
Less than 1 cigarette per day
1 cigarette per day
2 to 5 cigarettes per day
6 to 10 cigarettes per day
11 to 20 cigarettes per day
More than 20 cigarettes per day
ASK: Respondents who are current cigarette smokers
B9. [IF B5=1 OR 999]
About how many cigarettes have you smoked in your entire life? Your best guess is fine.
0 cigarettes
1 or more puffs but never a whole cigarette
1 cigarette
2 to 5 cigarettes
6 to 15 cigarettes (about 1/2 a pack total)
16 to 25 cigarettes (about 1 pack total)
26 to 99 cigarettes (more than 1 pack, but less than 5 packs)
100 or more cigarettes (5 or more packs)
ASK: Respondents who have ever tried smoking or PNTA
B10. [IF B5=1 OR 999]
How old were you the first time you smoked a cigarette?
________ years old [DO NOT ALLOW AGE > PARTICIPANT AGE]
ASK: Respondents who have ever tried smoking
INTRO_OTP.
Now we want to ask you a few questions about using other tobacco products.
ASK: All respondents
T he next questions are about smokeless tobacco, such as dip, chewing tobacco, snuff, or snus. Common brands include Copenhagen, Grizzly, Skoal, Camel Snus, Kodiak, and Longhorn.
B11.
Have you ever used smokeless tobacco, even just a small amount?
Yes
No
ASK: All respondents
B12. [IF B11=1 OR 999]
In the past 30 days, on how many days did you use smokeless tobacco?
________ days [RANGE 0-30]
ASK: Respondents who have ever used smokeless tobacco or PNTA
The next questions are about using cigar products. Please do not include using cigars with marijuana (sometimes known as blunts) in your answers. Cigar products include:
Large cigars, which include common brands such as Macanudo, Romeo y Julieta, and Arturo Fuente.
Cigarillos, which can come with and without a wooden or plastic tip. Some common brands are Black and Mild, Swisher Sweets, Backwoods, Dutch Masters, White Owl, and Game Cigars.
Little cigars, which are the same size and shape as cigarettes, and often include a filter. Some brands include Djarum, Cheyenne, Talon, and 305s.
B13.
Have you ever smoked large cigars, cigarillos, or little cigars even one time?
Yes
No
ASK: All respondents
B14. [IF B13=1 OR 999]
In the past 30 days, on how many days did you smoke any type of cigar (including large cigars, cigarillos, or little cigars)?
________ days [RANGE 0-30]
ASK: Respondents who have ever smoked traditional cigars, cigarillos, or little cigars, or PNTA
The next questions are about smoking tobacco in a hookah, which is a type of water pipe. It is
sometimes also called a "narghile" pipe. People smoke shisha or hookah tobacco in a hookah.
B16.
Have you ever tried smoking tobacco out of a hookah, even one time? Please do not include smoking marijuana/THC/CBD/Delta 8 when answering this question.
Yes
No
ASK: All respondents
B17. [IF B16=1 OR 999]
In the past 30 days, on how many days did you smoke tobacco out of a hookah? Please do not include smoking marijuana/THC/CBD/Delta 8 when answering this question.
________ days [RANGE 0-30]
ASK: Respondents who have ever tried smoking tobacco out of a hookah or PNTA
The next questions are about “nicotine pouches” such as Zyn, on!, or Velo. These small, flavored pouches contain nicotine. Users place them in their mouth. Nicotine pouches are different from other smokeless tobacco products such as snus, dip, or chewing tobacco, because they do not contain any tobacco leaf.
Please do not think about other forms of smokeless tobacco, such as chewing tobacco, snuff, dip, snus, or dissolvable tobacco when answering these questions.
B18.
Have you ever used a nicotine pouch, even just one time?
Yes
No
ASK: All respondents
B19. [IF B18=1 OR 999]
In the past 30 days, on how many days did you use a nicotine pouch?
________ days [RANGE 0-30]
ASK: Respondents who have ever used a nicotine pouch or PNTA
INTRO_MJ.
Next, we would like to ask about your use of marijuana (also known as cannabis, pot, weed, hash, or kush). Please include all forms of marijuana. Some examples include dried herb, edibles, oils, hash or kief, concentrates (wax, shatter, budder), drinks, and tinctures.
ASK: All respondents
B20.
Have you ever tried marijuana, even one time? Please do not include CBD when answering this question.
Yes
No
ASK: All respondents
B21. [IF B20=1 OR 999]
In the past 30 days, on how many days did you use marijuana? Please do not include CBD when answering this question.
________ days [RANGE 0-30]
ASK: Respondents who have ever tried marijuana or PNTA
B22. [IF B1=1 OR 999]
Earlier in the survey, you said that you have tried vaping at least one time. What type of products have you ever vaped? Select all that apply.
Marijuana (THC, CBD, or Delta 8), such as concentrates, hash oils, or dabs
Nicotine
Zero nicotine e-liquids (nicotine-free, just flavoring)
ASK: Respondents who have ever tried vaping or PNTA
B23. [IF B2>0 OR 999]
In the past 30 days, what did you usually vape? Select all that apply.
THC
CBD
Delta 8
Nicotine
Zero nicotine e-liquids (nicotine-free, just flavoring)
Other (please specify)
Don’t know
ASK: Respondents who currently vape
INTRO_CVAPE.
You’re doing great! Now we want you to think about what you might do in the future.
ASK: All respondents
C1_1.
Thinking about the future…
Do you think that you will vape nicotine soon?
Definitely yes
Probably yes
Probably not
Definitely not
ASK: All respondents
C1_2.
Thinking about the future…
Do you think you will vape nicotine at any time in the next year?
Definitely yes
Probably yes
Probably not
Definitely not
ASK: All respondents
C1_3.
Thinking about the future…
If one of your best friends were to offer you a vape with nicotine, would you use it?
Definitely yes
Probably yes
Probably not
Definitely not
ASK:
All respondents
c1_4. [IF B1=2]
Are you curious about vaping nicotine?
Definitely yes
Probably yes
Probably not
Definitely not
ASK: Respondents who have never tried vaping nicotine
C1_5.
Do you think you will be vaping nicotine 5 years from now?
Definitely will
Probably will
Probably will not
Definitely will not
ASK: All respondents
C2. [SOURCE: WILLINGNESS TO USE SCALE (VOGEL, 2021)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE C2 SERIES.]
Suppose you were in the following situation. You are at a party and many of your friends are vaping nicotine. You are offered a vape with nicotine by a person you like very much.
C2_1. How likely is it you would take the vape and try it?
C2_2. How likely is it you would say no thanks?
C2_3. How likely is it you would leave the situation?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
C3.
In the next 30 days, do you think you will obtain a vape with nicotine for your own personal use?
1 (Definitely will not obtain one to use it) |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 (Definitely will obtain one to use it) |
ASK: All respondents
C4. [USE SCROLLING LIST. RANDOMIZE ORDER OF THE C4 SERIES.]
Please tell us how much you agree or disagree with the following statements.
In the next year…
C4_1. …I do not intend to vape nicotine.
C4_2. …I will try not to vape nicotine.
C4_3. …I will not start vaping nicotine.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
C5. [Adapted from PATH W5]
Do you think using vapes with nicotine is less harmful, about the same, or more harmful than smoking cigarettes?
Less harmful
About the same
More harmful
ASK: All respondents
C6.
Please indicate the number that best describes how you feel about vaping nicotine.
Vaping nicotine is…
C6_1. |
Unattractive |
1 |
2 |
3 |
4 |
5 |
Attractive |
C6_2. |
Not Cool |
1 |
2 |
3 |
4 |
5 |
Cool |
C6_3. |
Boring |
1 |
2 |
3 |
4 |
5 |
Fun |
C6_4. |
Not meant for someone like me |
1 |
2 |
3 |
4 |
5 |
Meant for someone like me |
C6_5. |
Childish |
1 |
2 |
3 |
4 |
5 |
Grown-up |
ASK: All respondents
INTRO_CCIG.
Shifting gears, now think about cigarettes and what you might do in the future.
ASK: All respondents
C7_1.
Thinking about the future…
Do you think that you will smoke a cigarette soon?
Definitely yes
Probably yes
Probably not
Definitely not
ASK: All respondents
C7_2.
Thinking about the future…
Do you think you will smoke a cigarette at any time in the next year?
Definitely yes
Probably yes
Probably not
Definitely not
ASK: All respondents
C7_3.
Thinking about the future…
If one of your best friends were to offer you a cigarette, would you smoke it?
Definitely yes
Probably yes
Probably not
Definitely not
ASK: All respondents
C7_4. [IF B5=2]
Are you curious about smoking a cigarette?
Definitely yes
Probably yes
Probably not
Definitely not
ASK: Respondents who have never smoked cigarettes
C8. [SOURCE: WILLINGNESS TO USE SCALE (VOGEL, 2021)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE C8 SERIES.]
Suppose you were in the following situation. You are at a party and many of your friends are smoking cigarettes. You are offered a cigarette by a person you like very much.
C8_1. How likely is it you would take the cigarette and try it?
C8_2. How likely is it you would say no thanks?
C8_3. How likely is it you would leave the situation?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
INTRO_CALCOHOL.
Finally, we want you to think about alcohol and what you might do in the future.
ASK: All respondents
C9. [SOURCE: WILLINGNESS TO USE SCALE (VOGEL, 2021)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE C9 SERIES.]
Suppose you were in the following situation. You are at a party and many of your friends are drinking alcohol. You are offered an alcoholic drink by a person you like very much.
C9_1. How likely is it you would take the alcoholic drink and try it?
C9_2. How likely is it you would say no thanks?
C9_3. How likely is it you would leave the situation?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
CUTEBRK1. Thank you for all of your answers so far. You’re doing great!
ASK: All respondents
INTRO_D.
We will now ask you your opinions about vapes. This is not a test of your scientific knowledge. We just want to know your opinions.
ASK: All respondents
D1.
Please tell us how much you agree or disagree with the following statement.
Vaping nicotine can increase your risk for developing an anxiety disorder.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
D2.
Imagine you have a friend who vapes nicotine every day. Your friend is thinking about starting to smoke cigarettes as a way to quit vaping and wants to know if you think it’s a good or bad idea. What would you tell them?
I think it's a good idea to switch to cigarettes.
I think it's a bad idea to switch to cigarettes.
I’m unsure if it’s a good or bad idea to switch to cigarettes.
ASK: All respondents
INTRO_E. Next, we’d like to ask you some questions about things that might happen to people when they vape nicotine.
ASK: All respondents
E1. [PERCEIVED SEVERITY: METALS]
[W4A CREATIVE (POST-TEST): DON’T POLLUTE YOURSELF (MARCH 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E1 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E1_1. The metals in vapes will cause permanent damage to the user’s lungs.
E1_2. The metals in vapes will cause organ damage.
E1_3. The metals in vapes poison the user’s body.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E2. [PERCEIVED SUSCEPTIBILITY: METALS]
[W4A CREATIVE (POST-TEST): DON’T POLLUTE YOURSELF (MARCH 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E2 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would…
E2_1. …poison your body with the metals in vapes?
E2_2. …permanently damage your lungs by inhaling metal particles?
E2_3. …inhale metals that will cause organ damage?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E3. [OUGHT SELF-DISCREPANCY: FAMILY]
[W3 CREATIVE (POST-TEST): AWKWARD SILENCE; TTS 3.0 – FAMILY (awareness measured at BL)]
[W4A CREATIVE (PRE-TEST): DISTANCE (TBD 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E3 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E3_1. If I vape, my family will be disappointed in me.
E3_2. If I vape, my family will feel like I’m always breaking their trust.
E3_3. If I vape, I will not live up to the person my family thinks I should be.
E3_4. If I vape, I will not live up to my family’s expectations.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E4. [OUGHT SELF-DISCREPANCY: FRIENDS/PEERS]
[W3 CREATIVE (POST-TEST): AIP TOILET; NVIT – CHEER & TRACK (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): NVIT – FOOTBALL (JAN/FEB 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E4 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E4_1. If I vape, my friends will be very disappointed in me.
E4_2. If I vape, I will never live up to my friends’ expectations.
E4_3. If I vape, my friendships will be negatively impacted.
E4_4. If I vape, my friends will look at me very negatively.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
ATTNCHK1
To show us that you’re paying attention, please select Lunch as the answer to this question.
Which of the following is your favorite subject in school?
Hieroglyphics
Recess
Math
Lunch
History of Pottery
ASK: All respondents
E5. [IDEAL SELF-DISCREPANCY]
[W3 CREATIVE (POST-TEST): AIP TOILET; NVIT – CHEER & TRACK (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): NVIT – FOOTBALL (JAN/FEB 2024)]
[W3 CREATIVE (POST-TEST): TTS 3.0 – ADDICTION (OCT 2023-FEB 2024)]
[W4B CREATIVE (PRE-TEST): DREAM HIJACKING (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E5 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E5_1. If I vape, I will never become the person I want to be.
E5_2. If I vape, I will never be able to perform well at things that are important to me.
E5_3. If I vape, I will never be able to live up to my potential.
E5_4. If I vape, I will never be able to achieve my goals.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E6. [ANTICIPATORY SOCIALIZATION]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E6 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E6_1. Vaping will help me make friends.
E6_2. Vaping will help me feel more comfortable in social situations.
E6_3. To me, vaping is an important part of being with friends.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E7. [ANTICIPATED GUILT (SCALE)]
[W4A CREATIVE (PRE-TEST): ESCALATES QUICKLY (TBD 2024)]
[W4B CREATIVE (PRE-TEST): ORGAN PINBALL; BODY’S BEST FRIEND (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF E7_1-E7_9.]
Please tell us how much you agree or disagree with the following statements.
If I vape, I will feel...
E7_1. …bad about it.
E7_2. …worried about hurting my body
E7_3. …responsible if anything bad happens.
E7_4. …like I am acting recklessly.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E7_5. [ANTICIPATED GUILT (SINGLE ITEM)]
Please tell us how much you agree or disagree with the following statement.
If I vape, I will feel guilty.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E8. [ANTICIPATED SHAME (EXTERNAL SHAME)]
[W3 CREATIVE (POST-TEST): AIP – TOILET (awareness measured at BL)]
[W4A CREATIVE (PRE-TEST): DISTANCE (TBD 2024)]
[W4B CREATIVE (PRE-TEST): UNRECOGNIZABLE (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E8 SERIES.]
Please tell us how much you agree or disagree with the following statements.
If I vape, I feel that other people will…
E8_1. …judge me.
E8_2. …criticize me.
E8_3. …think I messed up.
E8_4. …be disappointed in me.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E9. [ANTICIPATED SHAME (INTERNAL SHAME - SCALE)]
[W3 CREATIVE (POST-TEST): AIP – TOILET (awareness measured at BL)]
[W4A CREATIVE (PRE-TEST): DISTANCE; ESCALATES QUICKLY (TBD 2024)]
[W4B CREATIVE (PRE-TEST): UNRECOGNIZABLE; DREAM HIJACKING (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF E9_1-E9_8.]
Please tell us how much you agree or disagree with the following statements.
If I vape, I will…
E9_1. …feel alone.
E9_2. …criticize myself.
E9_3. …feel gross about myself.
E9_4. …be embarrassed.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E9_5. [ANTICIPATED SHAME (INTERNAL SHAME – SINGLE ITEM)]
Please tell us how much you agree or disagree with the following statement.
If I vape, I will feel ashamed.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E10. [ANTICIPATED REGRET – SINGLE ITEM]
Please tell us how much you agree or disagree with the following statement.
If I vape, I will feel a sense of regret.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E11. [PERCEIVED SEVERITY: ANXIETY (WORSENING ANXIETY SYMPTOMS)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E11 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E11_1. Vaping will make anxious feelings so bad that it will lead to a panic attack.
E11_2. Vaping will increase stress.
E11_3. Vaping will make nervous feelings stronger.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E12. [PERCEIVED SEVERITY: ANXIETY (EFFECT ON MOOD)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E12 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E12_1. Vaping will make someone more likely to be in a bad mood.
E12_2. Vaping makes people angry more often.
E12_3. Vaping will cause a person’s mood to become so bad that others won’t want to be around them.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E13. [PERCEIVED SEVERITY: ANXIETY (SOCIAL ANXIETY)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E13 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E13_1. Vaping will cause people to feel nervous just talking to others.
E13_2. Vaping will make people feel anxious around other people.
E13_3. Vaping will make people feel scared to socialize.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E14. [PERCEIVED SUSCEPTIBILITY: ANXIETY (WORSENING ANXIETY SYMPTOMS)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E14 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would…
E14_1. …have anxious feelings that are so bad you get panic attacks?
E14_2. …have stronger feelings of nervousness?
E14_3. …feel more stressed?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E15. [PERCEIVED SUSCEPTIBILITY: ANXIETY (EFFECT ON MOOD)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E15 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E15_1. …be in a bad mood?
E15_2. …be in such a bad mood that others don’t want to be around you?
E15_3.… be angry more often?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E16. [PERCEIVED SUSCEPTIBILITY: ANXIETY (SOCIAL ANXIETY)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E16 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would
E16_1. …feel nervous just talking to others?
E16_2. …feel anxious around other people?
E16_3. …feel scared to socialize?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E17. [ADDICTION SUSCEPTIBILITY]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E17 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E17_1. …want to keep vaping more to get the same effect?
E17_2. …crave vaping constantly every day?
E17_3. …feel anxious if you can’t vape whenever you want to?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E18. [ADDICTION SEVERITY]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E18 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E18_1. A vaping addiction would make the person crave their vape constantly every day.
E18_2. A vaping addiction would mean a person has to keep vaping more to get the same effect.
E18_3. A person with a vaping addiction will get anxious if they can’t vape when they want to.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E19. [PERCEIVED SEVERITY: EXPOSURE TO CHEMICALS]
[W3 CREATIVE (POST-TEST): NVIT – CHEER & TRACK (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): NVIT – FOOTBALL (JAN/FEB 2024)]
[W4A CREATIVE (POST-TEST): DON’T POLLUTE YOURSELF; TOXIC TAXIDERMY (MARCH 2024)]
[W4B CREATIVE (PRE-TEST): F-BOMB (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E19 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E19_1. When people vape, the chemicals they inhale will cause a lot of harm to their lungs.
E19_3. The chemicals in vapes will cause permanent damage to the user’s body.
E19_4. When people vape, they inhale chemicals that cause cancer.
E19_5. When people vape, the chemicals they breathe in may/can cause harm to their lungs.
E19_6. The chemicals in vapes may/can cause damage to the user’s body.
E19_7. When people vape, they breathe in chemicals that may/can cause cancer.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E20. [PERCEIVED SUSCEPTIBILITY: EXPOSURE TO CHEMICALS]
[W3 CREATIVE (POST-TEST): NVIT – CHEER & TRACK (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): NVIT – FOOTBALL (JAN/FEB 2024)]
[W4A CREATIVE (POST-TEST): DON’T POLLUTE YOURSELF; TOXIC TAXIDERMY (MARCH 2024)]
[W4B CREATIVE (PRE-TEST): F-BOMB (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E20 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E20_1.…inhale chemicals that cause a lot of harm to your lungs?
E20_3.…inhale chemicals that will cause permanent damage to your body?
E20_4.....inhale chemicals that cause cancer?
E20_5. …breathe in chemicals that may/can cause harm to your lungs?
E20_6. …breathe in chemicals that may/can cause damage to your body?
E20_7. ...breathe in chemicals that may/can cause cancer?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E21. [PERCEIVED SERVERITY: PHYSCIAL FITNESS (SINGLE ITEM)]
Please tell us how much you agree or disagree with the following statement.
Vaping will hold people back from being physically in shape.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E22. [PERCEIVED SUSCEPTIBILITY: PHYSICAL FITNESS (SINGLE ITEM)]
If you were to vape a few days a week, how likely is it that you personally would be held back from getting physically in shape?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E23. Please tell us how much you agree or disagree with the following statement.
Vaping will make it very hard to concentrate.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E24. If you were to vape a few days a week, how likely is it that you personally would be controlled by nicotine?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E25. [SOURCE: FDA EXPRESSED CLAIMS SURVEY]
If you were to vape a few days a week, how likely is it that you would harm your overall health?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E26. [PERCEIVED SEVERITY – SLEEP EFFECTS FROM VAPING DEPENDENCE]
[W4B CREATIVE (PRE-TEST): DREAM HIJACKING; REAL NIGHTMARE; NICOTINE DON’T CARE (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E26 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E26_5. People who vape may/can lose out on sleep.
E26_6. People who vape may/can struggle to get enough sleep.
E26_7. Vaping may/can make people feel tired all day.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E27. [PERCEIVED SUSCEPTIBILITY – SLEEP EFFECTS FROM VAPING DEPENDENCE]
[W4B CREATIVE (PRE-TEST): DREAM HIJACKING; REAL NIGHTMARE; NICOTINE DON’T CARE (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E27 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E27_5. …lose out on sleep?
E27_6. …struggle to get enough sleep?
E27_7. …feel tired all day?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E28. [PERCEIVED SEVERITY – ORGAN DAMAGE FROM VAPING]
[W3 CREATIVE (POST-TEST): NVIT – CHEER & TRACK (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): NVIT – FOOTBALL (JAN/FEB 2024)]
[W4B CREATIVE (PRE-TEST): ORGAN PINBALL; BODY’S BEST FRIEND (Q4 2024 OR Q1 2025)][USE SCROLLING LIST. RANDOMIZE ORDER OF THE E28 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E28_1. Vaping causes serious damage to the user's vital organs.
E28_2. Vaping is very harmful to your internal organs.
E28_3. Vaping is toxic to the body's major organs.
E28_5. Vaping may/can damage important organs such as your brain.
E28_6. Vaping may/can harm major organs such as your heart.
E28_7. Vaping may/can cause damage to vital organs such as your lungs.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E29. [PERCEIVED SUSCEPTIBILITY – ORGAN DAMAGE FROM VAPING]
[W3 CREATIVE (POST-TEST): NVIT – CHEER & TRACK (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): NVIT – FOOTBALL (JAN/FEB 2024)]
[W4B CREATIVE (PRE-TEST): ORGAN PINBALL; BODY’S BEST FRIEND (Q4 2024 OR Q1 2025)][USE SCROLLING LIST. RANDOMIZE ORDER OF THE E29 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E29_1. ...have vital organs that are seriously damaged?
E29_2. ...have internal organs that are harmed a lot?
E29_3. ...find vapes to be toxic to your body's major organs?
E29_5. …have important organs such as your brain damaged?
E29_6 …have major organs such as your heart harmed?
E29_7. ...have vital organs such as your lungs damaged?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E30. [PERCEIVED SEVERITY – BRAIN]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E30 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E30_1. When teenagers vape, their brains don't develop normally.
E30_2. When teenagers vape, the chemicals in vapes disrupt their brain forever.
E30_3. The brains of teens who vape will always be different than the brains of teens who don't vape.
E30_4. Vaping will permanently change teens’ brains.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E31. [PERCEIVED SUSCEPTIBILITY – BRAIN]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E31 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E31_1. ...have a brain that won't develop normally?
E31_2. ...be exposed to chemicals in vapes that disrupt your brain forever?
E31_3. ...have a brain that is always different than the brain of a teen who didn't vape?
E31_4. ...have a brain that is permanently changed?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E32. [PERCEIVED SEVERITY – LUNGS]
[W3 CREATIVE (POST-TEST): NVIT – CHEER & TRACK (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): NVIT – FOOTBALL (JAN/FEB 2024)][USE SCROLLING LIST. RANDOMIZE ORDER OF THE E32 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E32_1. Vaping permanently damages the lungs.
E32_2. Vaping leads to the destruction of the lungs.
E32_3. Vaping makes it harder to breathe.
E32_4. Lungs damaged by vaping can never fully recover.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E33. [PERCEIVED SUSCEPTIBILITY – LUNGS]
[W3 CREATIVE (POST-TEST): NVIT – CHEER & TRACK (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): NVIT – FOOTBALL (JAN/FEB 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E33 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E33_1. ...have lungs that are permanently damaged?
E33_2. ...have lungs that are destroyed?
E33_3. ...find it harder to breathe?
E33_4. ...have lungs that never fully recover?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E34. [ADDICTION SEVERITY – NICOTINE]
[W3 CREATIVE (POST-TEST): AIP – TOILET; TTS 3.0 – FAMILY (awareness measured at BL)]
[W3 CREATIVE (POST-TEST): TTS 3.0 – ADDICTION; TTS 3.0 - IDENTITY (JAN/FEB 2024)]
[W4A CREATIVE (PRE-TEST): IT ESCALATES QUICKLY (TBD 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E34 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E34_1.
A nicotine addiction
is something people would need professional help to stop using
nicotine.
E34_2. A nicotine addiction makes a person crave nicotine nonstop.
E34_3. A person who is addicted to nicotine will get anxious if they can’t get nicotine when they want to.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E35. [ADDICTION SUSCEPTIBILITY- NICOTINE]
[W3 CREATIVE (POST-TEST): AIP – TOILET (awareness measured at BL)]
[W4A CREATIVE (PRE-TEST): IT ESCALATES QUICKLY (TBD 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E35 SERIES.]
If you were to use nicotine a few days a week, how likely is it that you personally would...
E35_1. ...crave nicotine nonstop?
E35_2. ...feel extremely anxious if you can’t get nicotine whenever you want to?
E35_3. ...need professional help to stop using nicotine?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E53. [PERCEIVED SEVERITY – MENTAL HEALTH EFFECTS FROM VAPING]
[W4B CREATIVE (PRE-TEST): PRODUCED BY NICOTINE (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E53 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E53_1. Vaping may make people feel nervous more often than usual.
E53_2. Vaping may cause people to have difficulty concentrating.
E53_3. Vaping may make people feel more restless than usual.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E54. [PERCEIVED SUSCEPTIBILITY – MENTAL HEALTH EFFECTS FROM VAPING]
[W4B CREATIVE (PRE-TEST): PRODUCED BY NICOTINE (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E54 SERIES.]
If you were to use nicotine a few days a week, how likely is it that you personally would...
E54_1. …feel nervous more than usual?
E54_2. …have trouble concentrating?
E54_3. …feel restless more than usual?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E55. [PERCEIVED SEVERITY – CHANGES TO SENSE OF SELF FROM NICOTINE]
[W4B CREATIVE (PRE-TEST): UNRECOGNIZABLE (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E55 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E55_1. Nicotine addiction can change a person’s behavior for the worse.
E55_2. Nicotine addiction can make a person act differently than they normally would.
E55_3. Nicotine addiction can cause someone to make bad choices they normally would not make.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E56. [PERCEIVED SUSCEPTIBILITY- CHANGES TO SENSE OF SELF FROM NICOTINE]
[W4B CREATIVE (PRE-TEST): UNRECOGNIZABLE (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E56 SERIES.]
If you were to become addicted to nicotine, how likely is it that you personally would...
E56_1. … change your behavior for the worse?
E56_2. … act differently than you normally would?
E56_3. … make bad choices you normally would not make?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
E57. [PERCEIVED SEVERITY – NICOTINE ADDICTION FROM VAPING]
[W4B CREATIVE (PRE-TEST): ONE OF A KIND (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E55 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E57_1. Vaping nicotine can make people need more nicotine to get the same effect.
E57_2. Vaping nicotine can make a person crave nicotine nonstop.
E57_3. Vaping nicotine can make a person need nicotine every day.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents.
E58. [PERCEIVED SUSCEPTIBILITY- NICOTINE ADDICTION FROM VAPING]
[W4B CREATIVE (PRE-TEST): ONE OF A KIND (Q4 2024 OR Q1 2025)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E56 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E58_1. … need to vape more nicotine to get the same effect?
E58_2. … crave vaping nicotine nonstop?
E58_3. … need to vape nicotine every day?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
E67. [PERCEIVED SEVERITY – HARMS FROM ENDS USE]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E67 SERIES.]
How much would the following affect your life?
E67_1. Being addicted to nicotine because of vaping.
E67_2. Harm from toxic ingredients because of vaping.
E67_3. Damage to your organs because of vaping.
E67_4. Problems with anxiety because of vaping.
E67_5. Having trouble sleeping because of vaping.
Not at all
A little
Somewhat
Quite a bit
Very much
ASK: All respondents.
E68. [PERCEIVED SUSCEPTIBILITY- HARMS FROM ENDS USE]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E68 SERIES.]
If you were to vape a few days a week, how likely is it that you personally would...
E68_1. … be addicted to nicotine because of vaping?
E68_2. … experience harm from toxic ingredients because of vaping?
E68_3. … have damage to your organs because of vaping?
E68_4. … experience problems with anxiety because of vaping?
E68_5. … have trouble sleeping because of vaping?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents.
INTRO_CIG2.
We will now ask you your opinions about cigarettes. This is not a test of your scientific knowledge. We just want to know your opinions.
ASK: All respondents
E36. [PERCEIVED SEVERITY: MENTAL WELL-BEING]
[W6 CREATIVE (POST-TEST): AUCTIONEER (Q1 & Q2 2023; PLANNED Q1 2024)]
Please tell us how much you agree or disagree with the following statements.
E36_1. Smoking cigarettes will make people feel worried more often.
E36_2. Smoking cigarettes will make it impossible to get a good night’s sleep.
E36_3. Smoking cigarettes will make it very hard to concentrate.
E36_4. Smoking cigarettes will seriously damage a person’s mental well-being.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E37. [PERCEIVED SEVERITY: ADDICTION]
[W6 CREATIVE (POST-TEST): SAID EVERY SMOKER EVER (Q1 & Q2 2023; PLANNED Q1 2024)]
[W6 CREATIVE (POST-TEST): SPOILER ALERT; ADDICTION IS LURKING (Q4 2023 – Q1 2024)
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E37 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E37_1. People who have a cigarette addiction need professional help to stop smoking.
E37_2. A cigarette addiction makes a person crave cigarettes nonstop.
E37_3. A person who is addicted to cigarettes will get extremely anxious if they can’t smoke whenever they want to.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E38. [OUGHT SELF-DESCREPANCY]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E38 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E38_1. If I smoke cigarettes, my friends will be very disappointed in me.
E38_2. If I smoke cigarettes, I will never live up to my friends’ expectations.
E38_3. If I smoke cigarettes, my friends will look at me very negatively.
E38_4. If I smoke cigarettes, I will be completely unable to support my friends.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E39. [IDEAL SELF-DISCREPANCY]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E39 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E39_1. If I smoke cigarettes, I will never become the person I want to be.
E39_2. If I smoke cigarettes, I will always miss out on things that are important to me.
E39_3. If I smoke cigarettes, I will never be able to perform well at things that are important to me.
E39_4. If I smoke cigarettes, I will never be able to live up to my potential.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E40. [ANTICIPATED GUILT]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E40 SERIES.]
Please tell us how much you agree or disagree with the following statements.
If I smoke cigarettes, I will feel...
E40_1. …extremely bad about it.
E40_2. …like I did something that I really shouldn’t have.
E40_3. …responsible if anything bad happens.
E40_4. …like I am acting recklessly.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E40_5. [ANTICIPATED GUILT (SINGLE ITEM)]
Please tell us how much you agree or disagree with the following statement.
If I smoke cigarettes, I will feel guilty.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E41. [ANTICIPATED REGRET – SINGLE ITEM]
Please tell us how much you agree or disagree with the following statement.
If I smoke cigarettes, I will feel a sense of regret.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E42. [PERCEIVED THREAT TO FREEDOM]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E42 SERIES.]
Please tell us how much you agree or disagree with the following statements.
Smoking cigarettes would ...
E42_1. ...take away my freedom to do what I want.
E42_2. ...mean cigarettes are completely controlling me.
E42_3. ...make it impossible to make my own choices.
E42_4. ...take away my independence.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E43. [PERCEIVED SUSCEPTIBILITY: MENTAL WELL-BEING]
[W6 CREATIVE (POST-TEST): AUCTIONEER (Q1 & Q2 2023; PLANNED Q1 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E43 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E43_1. …feel worried more often?
E43_2. …find it impossible to get a good night’s sleep?
E43_3. …find it very hard to concentrate?
E43_4. …experience serious harm to your mental well-being?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E44. [PERCEIVED SUSCEPTIBILITY: ADDICTION]
[W6 CREATIVE (POST-TEST): SAID EVERY SMOKER EVER (Q1 & Q2 2023; PLANNED Q1 2024)]
[W6 CREATIVE (POST-TEST): SPOILER ALERT; ADDICTION IS LURKING (Q4 2023 – Q1 2024)
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E44 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E44_1. …crave cigarettes nonstop?
E44_2. …feel extremely anxious if you can’t smoke whenever you want to?
E44_3. …need professional help to stop smoking?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E45. [PERCEIVED SEVERITY – LOSS OF TASTE/SMELL]
[W7 CREATIVE (PRE-TEST): TASTE BUDDIES; ICE CREAM (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E45 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E45_7. Smoking cigarettes may/can harm one’s sense of smell.
E45_8. Smoking cigarettes may/can harm one’s sense of taste.
E45_9. Smoking cigarettes may/can make it difficult for a person to taste foods.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E46. [PERCEIVED SUSCEPTIBILITY – LOSS OF TASTE/SMELL]
[W7 CREATIVE (PRE-TEST): TASTE BUDDIES; ICE CREAM (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E46 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E46_7. …have your sense of smell harmed?
E46_8. …have your sense of taste harmed?
E46_9. …have difficulty tasting foods?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E47. [PERCEIVED SEVERITY – WEAKENED IMMUNE SYSTEM]
[W7 CREATIVE (PRE-TEST): SISTERS; STAY STRONG (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E47 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E47_3. Smoking cigarettes may/can weaken the body’s ability to fight infections.
E47_4. Cigarette smokers may/can get sick more frequently than people who do not smoke.
E47_5. Cigarette smokers may/can miss out on things that are important to them because they are sick more often.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E48. [PERCEIVED SUSCEPTIBILITY – WEAKENED IMMUNE SYSTEM]
[W7 CREATIVE (PRE-TEST): SISTERS; STAY STRONG (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E48 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E48_3. ...have your ability to fight infections weakened?
E48_4. ...get sick more frequently than if you did not smoke?
E48_5. ...miss out on things that are important to you because you are sick more often?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E49. [PERCEIVED SEVERITY – SMELLING LIKE CIGARETTE SMOKE]
[W7 CREATIVE (PRE-TEST): STICK LIKE A LABEL (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E49 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E49_5. The smell of cigarettes on people who smoke may/can make others see them negatively.
E49_6. The smell of cigarettes on people who smoke may/can make it hard to make a positive impression on others.
E49_7. The smell of cigarettes on people who smoke may/can make it easy for others to overlook other parts of who they are.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E50. [PERCEIVED SUSCEPTIBILITY – SMELLING LIKE CIGARETTE SMOKE]
[W7 CREATIVE (PRE-TEST): STICK LIKE A LABEL (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E50 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E50_5. …be seen negatively because of the smell of cigarettes on you?
E50_6. …find it hard to make a positive impression because of the smell of cigarettes on you?
E50_7. …have others overlook other parts of who you are because of the smell of cigarettes on you?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E51. [PERCEIVED SEVERITY – COSMETIC CONSEQUENCES/APPEARANCE]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E51 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E51_1. Smoking cigarettes destroys people’s appearance.
E51_2. Smoking cigarettes gives people saggy skin.
E51_3. Smoking cigarettes makes people’s teeth yellow.
E51_4. Smoking cigarettes causes people to have gum disease.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E52. [PERCEIVED SUSCEPTIBILITY – COSMETIC CONSEQUENCES/APPEARANCE]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E52 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E52_1. ...have your appearance destroyed?
E52_2. ...have saggy skin?
E52_3. ...have yellow teeth?
E52_4. ...get gum disease?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E59 [PERCEIVED SEVERITY – ERECTILE DYSFUNCTION]
[W7 CREATIVE (PRE-TEST): BLOOD CELLS; PAL SMOKES TOO; DID YOU KNOW (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E59 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E59_1. Smoking cigarettes may/can make it difficult to keep an erection.
E59_2. Smoking cigarettes may/can make it difficult to get an erection.
E59_3. Smoking cigarettes may/can make it easier to lose an erection.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E60. [PERCEIVED SUSCEPTIBILITY – ERECTILE DYSFUNCTION]
[W7 CREATIVE (PRE-TEST): BLOOD CELLS; PAL SMOKES TOO; DID YOU KNOW (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E60 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E60_1. …have a difficult time keeping an erection?
E60_2. …find it difficult to get an erection?
E60_3. …more easily lose an erection?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
Not applicable to me
ASK: All respondents
E61. [PERCEIVED SEVERITY –HAIR LOSS]
[W7 CREATIVE (PRE-TEST): THICK HAIR (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E61 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E61_1. Smoking cigarettes may/can make it hard for men to keep a full head of hair for long.
E61_2. Smoking cigarettes may/can cause early hair loss in men.
E61_3. Smoking cigarettes may/can cause men’s hair to start thinning early.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E62. [PERCEIVED SUSCEPTIBILITY – HAIR LOSS]
[W7 CREATIVE (PRE-TEST): THICK HAIR (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E62 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E62_1. …keep a full head of hair for long?
E62_2. …lose your hair early?
E62_3. …experience early thinning of your hair?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
Not applicable to me
ASK: All respondents
E63. [PERCEIVED SEVERITY –DUAL USE]
[W7 CREATIVE (PRE-TEST): SCARY STORIES (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E63 SERIES.]
Please tell us how much you agree or disagree with the following statements.
E63_1. A person who smokes cigarettes and vapes may/can be addicted to nicotine longer.
E63_2. A person who smokes cigarettes and vapes may/can need more time to quit using nicotine.
E63_3. A person who smokes cigarettes and vapes may/can use nicotine products for a longer time.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
E64. [PERCEIVED SUSCEPTIBILITY – DUAL USE]
[W7 CREATIVE (PRE-TEST): SCARY STORIES (DEC 2024)]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E64 SERIES.]
If you were to both smoke cigarettes and vape a few days a week, how likely is it that you personally would...
E64_1. ...be addicted to nicotine longer?
E64_2. ...need more time to quit using nicotine?
E64_3. ...use nicotine products for a longer time?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
E65. [PERCEIVED SEVERITY – HARMS FROM CIGARETTE USE]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E48 SERIES.]
How much would the following affect your life?
E65_1. Being addicted to nicotine from smoking cigarettes.
E65_2. Problems with your mental health because of smoking cigarettes.
E65_3. Being perceived negatively by others because of the smell of cigarettes on you from smoking cigarettes.
E65_4. Having the way you look negatively changed because of smoking cigarettes.
E65_5. Harm to the way your body works because of smoking cigarettes.
Not at all
A little
Somewhat
Quite a bit
Very much
ASK: All respondents
E66. [PERCEIVED SUSCEPTIBILITY – HARMS FROM CIGARETTE USE]
[USE SCROLLING LIST. RANDOMIZE ORDER OF THE E66 SERIES.]
If you were to smoke cigarettes a few days a week, how likely is it that you personally would...
E66_1. ...be addicted to nicotine from smoking cigarettes?
E66_2. ...experience problems with your mental health because of smoking cigarettes?
E66_3. ...be perceived negatively by others because of the smell of cigarette smoke on you from smoking cigarettes?
E66_4. …have negative changes to your appearance because of smoking cigarettes?
E66_5. …have your body not work like it’s supposed to because of smoking cigarettes?
Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely
ASK: All respondents
CUTEBRK2. You’re doing great! Keep it up!
ASK: All respondents
[PROGRAMMING NOTE: DISPLAY: FILL DATE IS THE FIRST DAY OF THE RECALL PERIOD. FILL DATE = DATE THAT IS 3 MONTHS BEFORE CURRENT DATE.]
INTRO_F.
Now we want to ask you about some slogans or logos you may have seen on TV or online.
F1.
I n the past 3 months, that is since [FILL DATE], have you seen or heard the following slogan or logo?
The Real Cost
Yes
No
Not sure
ASK: All respondents
F2. In the past 3 months, that is since [FILL DATE], have you seen or heard the following slogan or logo?
Tips from Former Smokers (Tips)
Yes
No
Not sure
ASK: All respondents
F 3. In the past 3 months, that is since [FILL DATE], have you seen or heard the following slogan or logo?
truth
Yes
No
Not sure
ASK: All respondents
F4.
In the past 3 months, that is since [FILL DATE], have you seen or heard the following slogan or logo?
GenZ Vape Free
Yes
No
Not sure
ASK: All respondents
F11.
In the past 3 months, that is since [FILL DATE], have you seen or heard the following slogan or logo?
[INSERT CAMPAIGN NAME AND LOGO]
Yes
No
Not sure
ASK: All respondents
INTRO_AWARE.
Now we would like to show you some advertisements that have been shown in the U.S.
Once you have viewed the video or screenshot, please click on the forward arrow below to
continue with the survey.
ASK: All respondents
F5_X. [IF VIDEO AD, DISPLAY VIDEO; IF STATIC AD, SKIP TO F6_X]
ASK: All respondents
F6_X. [DISPLAY SCREENSHOT OF VIDEO OR STATIC AD]
Apart from this survey, how frequently have you seen this ad in the past 3 months, that is since [FILL DATE]?
Never
Rarely
Sometimes
Often
Very Often
ASK: All respondents
F7_X. [IF F6_X = 2, 3, 4, OR 5]
How much do you agree with the following statement: Apart from this survey, when this ad played, I really paid attention to it.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: Respondents who saw the ad at least rarely in the past 3 months
F8_X. [IF F6_X = 2, 3, 4, OR 5;
RANDOMIZE ORDER OF F8_X_1 – F8_X_8]
When watching this ad, how often have you…
|
|
Never |
Once |
More than once |
F8_X_1 |
Turned the sound on or turned the volume up |
1 |
2 |
3 |
F8_X_2 |
Turned the sound off or turned the volume down |
1 |
2 |
3 |
F8_X_3 |
Clicked on the ad |
1 |
2 |
3 |
F8_X_4 |
Scrolled past the ad |
1 |
2 |
3 |
F8_X_5 |
Skipped the ad once given the option |
1 |
2 |
3 |
F8_X_6 |
Watched the full ad |
1 |
2 |
3 |
F8_X_7 |
Made the ad full screen |
1 |
2 |
3 |
F8_X_8 |
Replayed the ad |
1 |
2 |
3 |
ASK: Respondents who saw the ad at least rarely in the past 3 months
F9_X. [IF F6_X = 2, 3, 4, OR 5]
Apart from this survey, how certain are you that you have seen this ad before?
Very certain
Somewhat certain
Not at all certain
ASK: Respondents who saw the ad at least rarely in the past 3 months
ATTNCHK2.
To show us that you’re paying attention, please select Always as the answer to this question.
How often have you piloted a spaceship in the past 30 days?
Always
Often
Sometimes
Rarely
Never
ASK: All respondents
F10_X. [IF F6_X = 2, 3, 4, OR 5 & AD SHOWN = DREAM HIJACKING, THE REAL NIGHTMARE, and NICOTINE DON’T CARE WHAT TIME IT IS]
Please tell us how much you agree or disagree with the following statement. This ad made it seem like there is just no point in someone trying to quit vaping nicotine.
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
INTRO_G.
Next, we’d like to ask you about your use of TV and other media.
ASK: All respondents
G1.
How often do you personally use the following to stream music, and/or watch media, television shows, or videos?
|
Never |
Sometimes |
A lot |
G1_1. Platform 1 |
1 |
2 |
3 |
G1_2. Platform 2 |
1 |
2 |
3 |
G1_3. Platform 3 |
1 |
2 |
3 |
G1_4. Platform 4 |
1 |
2 |
3 |
G1_5. Platform 5 |
1 |
2 |
3 |
G1_6. Platform 6 |
1 |
2 |
3 |
G1_7. Platform 7 |
1 |
2 |
3 |
G1_8. Platform 8 |
1 |
2 |
3 |
G1_9. Platform 9 |
1 |
2 |
3 |
G1_10. Platform 10 |
1 |
2 |
3 |
ASK: All Respondents
G2. [IF G1_X (Hulu)=2 OR 3]
When you watch Hulu, are there video advertisements during the shows?
Yes, there are video ads
No, there are no video ads at all
Not sure if there are video ads
ASK: Respondents who report watching Hulu sometimes or a lot
G3. [IF G1_X (Roku) =2 OR 3, DISPLAY: “Roku” FOR PLATFORM;
IF G1_X (Amazon Fire TV Stick) =2 OR 3, DISPLAY: “Amazon Fire TV Stick FOR PLATFORM”;
IF G1_X (PlayStation) =2 OR 3, DISPLAY: “PlayStation” FOR PLATFORM]
When you watch media, television shows, or videos on your [PLATFORM] do you ever see video advertisements?
Yes, I see video ads
No, I do not see video ads
I’m not sure if I see video ads
ASK: Respondents who report watching Roku, PlayStation, or Amazon Fire TV Stick Sometimes or a lot
G3b. [IF G1_X=2 OR 3, DISPLAY LISTED PLATFORM]
When you listen to [PLATFORM LIST] do you ever hear advertisements?
Yes, I hear ads
No, I do not hear ads
I’m not sure if I hear ads
ASK: Respondents who report using [PLATFORM LIST] to stream music sometimes or a lot
G4. [IF G1_5=2 OR 3]
When you watch cable television, do you watch [IF ONE SHOW OR CHANNEL] the following [show/channel]? [IF MORE THAN ONE SHOW OR CHANNEL] any of the following shows or channels?
|
Yes |
No |
G4_1. Show 1 |
1 |
2 |
G4_2. Show 2 |
1 |
2 |
G4_3. Show 3 |
1 |
2 |
G4_4. Show 4 |
1 |
2 |
G4_5. Show 5 |
1 |
2 |
G4_6. Show 6 |
1 |
2 |
ASK: Respondents who report watching Cable Television sometimes or a lot
[PROGRAMMING NOTE: RANDOMIZE ORDER THAT G5 SERIES IS DISPLAYED]
G5_1.
How often do you….
Watch television shows?
Several times a day
About once a day
3-5 days a week
1-2 days a week
Every few weeks
Less often
Never
ASK: All respondents
G5_2.
How often do you….
Use Instagram?
Several times a day
About once a day
3-5 days a week
1-2 days a week
Every few weeks
Less often
Never
ASK: All respondents
G5_3.
How often do you….
Use Snapchat?
Several times a day
About once a day
3-5 days a week
1-2 days a week
Every few weeks
Less often
Never
ASK: All respondents
G5_4.
How often do you….
Use Facebook?
Several times a day
About once a day
3-5 days a week
1-2 days a week
Every few weeks
Less often
Never
ASK: All respondents
G5_5.
How often do you….
Use TikTok
Several times a day
About once a day
3-5 days a week
1-2 days a week
Every few weeks
Less often
Never
ASK: All respondents.
G5_X.
How often do you….
Use [INSERT SOCIAL MEDIA PLATFORM]
Several times a day
About once a day
3-5 days a week
1-2 days a week
Every few weeks
Less often
Never
ASK: All respondents.
G6.
Have you ever seen content posted on social media promoting or selling a vaping product?
Yes
No
ASK: All respondents.
G7.
In the past week, how often did you see content posted on social media promoting or selling a vaping product?
More than once a day
About once a day
A few times in the past week
About once in the past week
More than a week ago
ASK: All respondents
INTRO_H.
Thanks for all your answers so far! We have just a few more questions for you.
ASK: All respondents
H1.
Other than you, has anyone who lives with you used any of the following in the past 30 days? Select all that apply.
Cigarettes
Smokeless tobacco, such as chewing tobacco, snuff, snus (rhymes with goose) or dip, such as [NAME TOP BRANDS]
Cigars, cigarillos, or little cigars such as [NAME TOP BRANDS]
Tobacco out of a water pipe (also called “hookah”)
Electronic vaping products or electronic cigarettes with nicotine, such as [NAME TOP BRANDS]
Nicotine pouches, such as [NAME TOP BRANDS]
Any other form of tobacco
No, no one who lives with me has used any form of tobacco during the past 30 days
ASK: All respondents
H2. [Source: BSSS-4]
Please tell us how much you agree or disagree with the following statements.
H2_1. I would like to explore strange new places.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
H2_2. I like to do frightening things.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
H2_3. I like new and exciting experiences, even if I have to break the rules.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
H2_4. I prefer friends who are exciting and unpredictable.
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
ASK: All respondents
H3. [Source: PHQ-4]
In the past 2 weeks, how often have you been bothered by the following problems?
|
|
Not at all |
Several days |
More than half the days |
Nearly every day |
H3_1. |
Feeling nervous, anxious or on edge. |
0 |
1 |
2 |
3 |
H3_2. |
Not being able to stop or control worrying. |
0 |
1 |
2 |
3 |
H3_3. |
Little interest or pleasure in doing things. |
0 |
1 |
2 |
3 |
H3_4. |
Feeling down, depressed, or hopeless. |
0 |
1 |
2 |
3 |
ASK: All respondents
H4. Do you play sports on a team?
Yes
No
ASK: All respondents.
H5. Do you attend school outside of your home?
Yes
No
ASK: All respondents.
H6. [IF H5 = 1]
How well would you say you have done in school?
Much better than average
Better than average
Average
Below average
Much worse than average
ASK: All respondents who attend school outside of their home.
Please tell us how much you agree or disagree with the following statement.
H7. [IF H5 = 1]
I feel close to people at my school.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
ASK: All respondents who attend school outside of their home.
H8. [IF H5 = 1] Please tell us how much you agree or disagree with the following statements.
I am happy to be at my school.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
ASK: All respondents who attend school outside of their home.
H9. [IF H5 = 1] Please tell us how much you agree or disagree with the following statements.
I feel like I am a part of my school.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
ASK: All respondents who attend school outside of their home.
H10.
How far do you think you will go in school?
I don’t plan to go to school anymore
9th grade
10th grade
11th grade
12th grade or GED
Some college or technical school but no degree
Technical school degree
College degree
Graduate school, medical school, or law school
ASK: All respondents.
These next questions ask about how you feel about your current relationship with your parents or guardians.
H11.
Thinking about the adult or adults you live with, how satisfied are you with the way you communicate with each other?
Not at all satisfied
Not very satisfied
Somewhat satisfied
Quite satisfied
Very satisfied
Not applicable
ASK: All respondents.
H12.
How close do you feel to the adult or adults you live with?
Not at all close
Not very close
Somewhat close
Quite close
Very close
Not applicable
ASK: All respondents.
H13.
Are you: Mark all that apply.
Female
Male
Transgender, non-binary, or another gender identity
ASK: All respondents
H14.
Which of these best describes your racial and/or ethnic background? Select all that apply.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
ASK: All respondents
H15_1. [IF H14=4]
In general, do you usually speak…
Only Spanish
Spanish more than English
Spanish and English equally
English more than Spanish
English only
ASK: Respondents who are Hispanic or Latino
H15_2. [IF H14=4]
When you watch TV, what type of programming do you usually watch?
Only Spanish
Spanish more than English
Spanish and English equally
English more than Spanish
English only
ASK: Respondents who are Hispanic or Latino
H16.
Which of the following best represents how you think of yourself? Select all that apply.
Straight or heterosexual
Bisexual
Gay or lesbian
Pansexual
Queer
Asexual
I am not sure yet
Something else [Open Text]
ASK: All respondents
H17.
How much money does your family have?
Not enough to get by
Just enough to get by
Only have to worry about money for fun or extras
Never have to worry about money
ASK: All respondents
THANKS
To thank you for completing the survey, we will mail you a [IF BEFORE [ADD DATE] FILL: $30 incentive; ELSE (ON AND AFTER [ADD DATE]) FILL: $25 incentive] to the address provided.
Would you like to receive cash or a Visa gift card?
Cash
Visa gift card
I do not wish to receive the incentive.
ASK: All Respondents
[INCENTIVE] [IF THANKS = 1 OR THANKS = 2]
We will mail your [IF BEFORE [ADD DATE] FILL: $30] [IF THANKS_YOUTH OR THANKS_ADULT = 1 in cash] [IF THANKS_YOUTH OR THANKS_ADULT = 2 Visa gift card]; ELSE (ON AND AFTER [ADD DATE]) FILL: $25 [IF THANKS_YOUTH OR THANKS_ADULT = 2 Visa gift card]] within 1-2 weeks.
Next
ASK: Respondents who did not decline the incentive
[RECEIPT PAGE]
[IF STATUS=2690-Complete] Thank you for taking this survey. This survey was done for the Food and Drug Administration (FDA). FDA studies people’s beliefs about tobacco and nicotine products. This study looked at your tobacco use behaviors as well as your beliefs around tobacco. We wanted to know what you thought about cigarettes and vapes.
We asked you to provide your opinions around some statements on vapes and cigarettes. Some of the statements we asked you about were made up for this study and are not facts.
If you or a loved one wants to quit tobacco or learn more about its harms, you can call your state’s quitline at 1-800-QUIT-NOW (1-800-784-8669) or visit https://teen.smokefree.gov/ to learn more about Smokefree Teen, a free web, text, and app-based program for quitting smoking run by the National Cancer Institute.
If you or a loved one needs assistance with mental health you can call SAMHSA’s National Helpline 1-800-662-HELP (4357) or send a text message to 435748 (HELP4U). This is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders.
If you or someone you know is suicidal or in emotional distress, contact the National Suicide Prevention Lifeline. Trained crisis workers are available to talk 24 hours a day, 7 days a week. 1-800-273-TALK (8255) or Live Online Chat.
Thank you for taking time to complete this survey.
[IF STATUS=2405-Refusal by Youth] Thank you for your time.
ASK: All respondents
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 2024-07-28 |